Organization
MERCIFUL O&P LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACI MACKAY-MERCER CO, LO (OWNER/ORTHOTIST)
(770) 800-2030
Entity
Organization
Contact information
Practice address
129 MIRRAMONT LAKE DR, WOODSTOCK, GA 30189-8215
(770) 800-2030
(770) 800-2030
Mailing address
129 MIRRAMONT LAKE DR, WOODSTOCK, GA 30189-8215
(770) 800-2030
(770) 800-2030
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
09/30/2025
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